Charlotte Rosenberg, CLINICAL PSYCHOLOGIS

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27571 Issued in CA

Practice address

2008 Morse Ave
Sacramento, CA 95825-2135

Phone

(916) 973-7323

NPI assigned

Nov 4, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Charlotte Jevons Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2020 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1073986642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 I ST",
            "address_2": "APT 11C",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958164070",
            "telephone_number": "415-745-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 MORSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252135",
            "telephone_number": "916-973-7323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBERG",
        "first_name": "CHARLOTTE",
        "name_prefix": "Dr.",
        "credential": "CLINICAL PSYCHOLOGIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "JEVONS",
            "credential": "CLINICAL PSYCHOLOGIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie E Roselli, CRNP
• Matthew Anthony Roselli, M.S.W., LCSW
• Jared Rosen
• Sasha Matthew Rosen, MD
• Aaron Rosenberg, M.D., M.S.
• Kelsey Ryan Rosenberg
• David Rosenblatt, PSY.D.
• Mark Rosenblatt, MD
• Eugene Rosenbloom, MD
• Joshua Michael Rosenblume

• Clinical Psychologist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.